Urban Education Scholars Application
As an Urban Education Scholar, you will have the chance to: (1) Engage deeply in urban and educational issues (2) Be part of an active cohort of inspired, curious undergraduate students (3) Learn, grow and affect positive change for children, the community and the world! Join us today in making a difference.

Application deadline is 11:59pm on Wednesday, October 18, 2017.
Questions?:
* Smith Students: Contact Jo Glading-DiLorenzo jdilorenzo@smith.edu
* Amherst, Hampshire, MHC & UMass Students: Contact UEPCoordinator@teachwesternmass.com

Email address
Your Name (Preferred Pronouns)
Ex: Julie Anderson (she/her)
School
School ID #
Campus Mailbox #
If applicable
Campus House /OR/ Residence Hall /OR/ Off-Campus Address
Where you currently reside
Phone Number
Major(s) and Minor(s)
Race and/or Ethnicity
Optional response
Are you a First-Generation College Student?
Academic Reference Name and Contact Info
Please provide us with the name and contact information of someone from your academic world (teacher, professor, advisor) who can speak to your academic interests, strengths, and compatibility with this program's mission. Ex: Professor M. Phillipides, Classics Dept Chair, mphil@classics.umass.edu
Professional Reference Name and Contact Info
Please provide us with the name and contact information of someone from your professional world (employer, supervisor) who can speak to your experience and skills in working with children or teaching. Ex: Marty McFly, Aquatics Director, City of Chicopee, 592-5584
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